Individual provider Active NPI

Oscar A Lora, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1720756596
Registry record updated Sep 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14918 Issued in TX
Practice address
13310 Beamer Rd Ste B
Houston, TX 77089-6045
Phone
(832) 879-2942
Fax
(832) 962-4937
NPI assigned
Sep 5, 2021
Last updated
Sep 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14918 TX Primary

Addresses

Primary practice location

13310 Beamer Rd Ste B
Houston, TX 77089-6045

Mailing address

1 Hermann Park CT Apt 311
Houston, TX 77021-2286
Phone (956) 600-5863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CT, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211111000461 TX Practitioner - Physician Assistant 0840689956 Reassigns benefits to 1 organization
I20251009002164 CT Practitioner - Physician Assistant 0840689956 Reassigns benefits to 1 organization
I20260420002032 CA Practitioner - Physician Assistant 0840689956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pennsylvania State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Day Kimball Healthcare, Inc.Group PAC ID 5092773549, 27 clinicians
El Portal Radiation Oncology CenterGroup PAC ID 3678637378, 5 clinicians

Practice addresses (Care Compare)

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

3303 M St
Merced, CA 95348-2735
Phone (209) 726-3410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14918TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Day Kimball Healthcare, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Day Kimball Healthcare, Inc. Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
El Portal Radiation Oncology Center Single Specialty Past Accepting new patients

Locations

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1720756596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HERMANN PARK CT APT 311",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212286",
            "telephone_number": "956-600-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13310 BEAMER RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896045",
            "telephone_number": "832-879-2942",
            "fax_number": "832-962-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORA",
        "first_name": "OSCAR",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-05",
        "last_updated": "2021-09-05",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.